| NPI | 1922732759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KRUIDENIER Speech Language Pathologist 803-586-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-07-16 |
| Last Update Date | 2022-07-16 |