| NPI | 1679095491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA NELSON Speech Language Pathologist 703-217-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 6574955-4102) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |