| NPI | 1619105137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN T. VANCE Speech Langage Pathologist/Owner 803-467-8596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3537) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |