| NPI | 1033515499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE ASHLYN LELEJ Owner 704-307-9541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6505) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2017-02-15 |