| NPI | 1871088831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINI ANN RAJAN Director 469-274-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: TX 14144820) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |