| NPI | 1225905995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISETTE PALACIOS Speech Language Pathologist 210-201-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-10-18 |
| Last Update Date | 2025-10-18 |