| NPI | 1144646456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE KEMETHER Therapist/Owner 410-920-2309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4206) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1716) |
| 1041C0700X Social Worker, Clinical (Licence: MD 09536) | |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |