| NPI | 1669169694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY FAIRDOSI Owner/Speech Language Pathologist 512-689-9291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |