| NPI | 1366932717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LYSZCZYK ROESCH Owner/Speech Language Pathologist 704-785-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5758) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |