| NPI | 1134692197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE CRIQUI Speech Language Pathologist 804-357-9626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |