| NPI | 1093069908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELMIRA LATHAM Owner, President 252-717-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 6412) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |