| NPI | 1548776230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE WHITE Owner 770-330-7904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003773) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2019-06-11 |