| NPI | 1679345912 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANGELA SALINAS PIVARO Speech Language Pathologist 832-964-6223 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2023-10-30 | 
| Last Update Date | 2025-02-04 |