| NPI | 1063135044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HAYES CLARK Owner/Speech Pathologist 410-713-0176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |