| NPI | 1134737331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE WILLIS Owner/Speech Language Pathologist 864-905-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |