| NPI | 1548506421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH HOLLER HINES Speech Language Pathologist 803-622-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3596) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |