| NPI | 1093506651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINTER GRANT Owner/Speech Language Pathologist 843-598-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |