| NPI | 1407301542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY CARTER Owner 410-598-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MD DX3870) |
| 133V00000X Dietitian, Registered | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2023-07-24 |