| NPI | 1376638981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON PAULINE BAKA President 336-956-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6090) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-16 |