| NPI | 1760501712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA S GAINES Executive Director 703-685-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202000517) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-06-07 |