| NPI | 1205678356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BURTON Speech Language Pathologist 469-586-7850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |