| NPI | 1811723273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA BLANEY Speech Language Pathologist 843-310-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |