| NPI | 1316695521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERANESHA TAYLOR Speech Language Pathologist 571-347-8093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2024-05-01 |