| NPI | 1518654490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARACELY WILLMAN Speech Language Pathologist Intern 432-698-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |