| NPI | 1811647472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE YOUNG Speech Language Pathologist 817-526-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2022-03-26 |