| NPI | 1508229337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE ELLEN DIETRICH-BURNS Owner 443-380-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 03461) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |