| NPI | 1417717703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLA VIDAURRI HOLLAND Speech Language Pathologist 210-577-0614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |