| 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 |