| NPI | 1174670392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BAUMHOFER Owner 864-313-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3253) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-08-15 |