| NPI | 1427302207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA WILKINSON BRODEN Owner 214-392-5776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 1842) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |