| 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 |