| NPI | 1356722797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WILLMUTH Owner 843-757-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4701) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-10-03 |