| NPI | 1477395721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEFANIA LOPEZ SANTANA Speech Language Pathologist 678-266-8793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-07-09 |