| NPI | 1184132672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH OLIVER Owner 803-917-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5424) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |