| NPI | 1265709331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH S. GAILLARD Speech Language Pathologist 843-870-9157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4521) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2012-10-16 |