| NPI | 1952764326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA RENEE WILSON Owner/Speech Language Pathologist 404-202-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006266) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |