| NPI | 1164783767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA WHITE Owner 443-831-2964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04041) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |