NPI | 1619220225 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCRETIA ESPIRITU Owner 843-509-7897 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3883) |
Enumeration Date | 2012-10-19 |
Last Update Date | 2012-10-19 |