NPI | 1700153038 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY STERTZ Owner 469-828-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 24716) |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |