NPI | 1245589407 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER R. LAFRENIERE Owner 703-535-7841 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003958) |
Enumeration Date | 2012-09-04 |
Last Update Date | 2012-09-04 |