| NPI | 1659973717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIA GARY Speech Language Pathologist 678-861-8746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |