| NPI | 1275125361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MOSSARO CEO 512-759-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-12-10 |