| NPI | 1518381789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A. PETRILLO Speech Language Pathologist 832-577-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105266) |
| Enumeration Date | 2014-02-09 |
| Last Update Date | 2014-02-09 |