| NPI | 1396168522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA JANNELL GASAWAY Co Owner 301-977-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MD 158434) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |