| NPI | 1942748298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNELLE LAW Speech Language Pathologist 240-530-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-10-04 |