| NPI | 1831984467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA LESLIE Speech Language Pathologist 706-914-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |