| NPI | 1811556061 |
|---|---|
| Doing Business As | BONNIE BROADFIELD WHITE |
| Entity Type | Organization |
| Authorized Contact | BONNIE BROADFIELD WHITE Owner 540-216-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-08-21 |