| NPI | 1548892946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARICE K LANE Owner/Speech Language Pathologist 202-569-1149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |