| NPI | 1053543488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA VESTAL LIKAS Speech Language Pathologist/Owner 803-528-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 2972) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |