| NPI | 1225316375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMICKA RENEE WATKINS Owner 919-720-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 5846) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2013-07-05 |