| NPI | 1922693423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY GILL CARTER Owner 410-598-4336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 101YM0800X Counselor Mental Health | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2023-07-24 |