| NPI | 1518486471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE NATASHA WILSON Speech Language Pathologist 713-732-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 102896) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |