| NPI | 1265089551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY INDIERO Speech Language Pathologist 832-754-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |