| NPI | 1134378979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J. WILSON Vice President/Psychotherapist 410-882-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC0034) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 46804) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |