NPI | 1083369995 |
---|---|
Entity Type | Organization |
Authorized Contact | BIANCA P BOSTON Owner, Speech Language Pathologist 704-980-8646 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-02-18 |
Last Update Date | 2022-02-18 |