| NPI | 1710564943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL BASDEN Speech Language Pathologist 703-999-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |