| NPI | 1457583494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNAH AMISS Owner 512-947-2295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102717) |
| Enumeration Date | 2009-08-09 |
| Last Update Date | 2009-08-09 |