| NPI | 1114751161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN DANIELLE CARVER Speech Language Pathologist 910-302-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-11-02 |