| NPI | 1346991171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN FLEIG Speech Language Pathologist 803-386-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |