| NPI | 1265569990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN MOORE Owner 281-894-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 11640) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |