| NPI | 1801662069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIRA AGUIRRE Speech Language Pathologist 346-515-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-12-09 |