| NPI | 1497629331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LIVEOAK OCHOA Speech Language Pathologist 210-210-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-11-19 |