| NPI | 1336919554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A'KAILA MONAE WILSON Speech Language Pathologist 843-812-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |