| NPI | 1669758843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SHANAHAN WILSON Speech Language Pathologist 703-623-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004319) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |