| NPI | 1659833275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA LILIAN SEGOVIA Speech And Language Pathologist 336-675-4598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-01-06 |