| NPI | 1578014015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA CIVIL Member 919-588-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA14391) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |