NPI | 1255658977 |
---|---|
Entity Type | Organization |
Authorized Contact | TOSHA LAKARA EVANS Owner/Speech Language Pathologist 910-366-1922 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5414) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2010-04-21 |