| NPI | 1265969547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MICHELLE JOHANSON Speech Language Pathologist 512-585-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102119) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |