| NPI | 1073197075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WIMER Speech Language Pathologist 404-667-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |