| NPI | 1144945858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH CARLSON Licensed Professional Counselor 410-929-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2023-01-10 |