| NPI | 1154196293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA NICOLE KUNTZ Owner 443-791-8656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |