| NPI | 1093284572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON GUSTIN PEREIRA Speech Language Pathologist 919-302-7291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |