| NPI | 1407302706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LOPEZ Owner/ Speech Language Pathologist 540-514-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008058) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-04-05 |