| NPI | 1598173619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA M GREEN Owner 443-257-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04787) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |