| NPI | 1861148116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GONZALEZ Speech Language Pathologist 915-487-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |