| NPI | 1649005679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA JEAN MARTINEZ Speech Language Pathologist 210-201-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |