| NPI | 1063006351 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHERENE MANAE RODRIGUEZ Speech Language Pathologist 301-284-8572  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2021-02-26 | 
| Last Update Date | 2021-02-26 |