| NPI | 1831723774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURI VASQUEZ Speech Language Pathologist/Manager 210-362-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-01 |