| NPI | 1356059760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA ADILENE CANCHOLA Speech Language Pathologist 830-331-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |