| NPI | 1255357414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DANETTE HOLT Owner 979-480-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 16308) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |