| NPI | 1255426987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN WILSON President 704-756-9324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 3578) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-08-13 |