| NPI | 1104503481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MICHELLE LYONS President 703-509-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-10-16 |