| NPI | 1528202595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MILES Member 240-536-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04258) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |