| NPI | 1609581404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATLIN FAULDS Speech Language Pathologist 919-830-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2025-01-13 |