| NPI | 1104378900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER WILLIAMSON Owner/Operator 336-365-2637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11283) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |