| NPI | 1255990727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI JENKINES BROUSSARD Owner/Lead Therapist 512-550-6857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2020-05-11 |