| NPI | 1720732126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA ADAME Speech Language Pathologist 346-812-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2024-09-22 |