| NPI | 1154007623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORSHIA WICKER Speech Language Pathologist 919-770-6649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |