| NPI | 1649569880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA DENISE GRAHAM Owner 940-367-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 100468) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |