| NPI | 1912687021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A TATE Owner Speech Language Pathologist 512-627-7978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |