| NPI | 1467069195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JONES Speech Language Pathologist 803-707-9509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |