| NPI | 1558705350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA DENISE VICTOR Speech Language Pathologist 281-392-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |