NPI | 1962869883 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA WOOTEN PRINCIPE Owner/Speech Language Pathologist 803-707-6248 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4738) |
Enumeration Date | 2016-01-22 |
Last Update Date | 2016-01-22 |