| NPI | 1346995529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAATIMAH MALIKA PATTERSON Owner 803-413-3947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |