| NPI | 1083338412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI HOLMAN Speech Language Pathologist 228-861-5635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-10-11 |