| NPI | 1164775482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANAE ALLYSON WHEATLEY Owner/Clinician 410-494-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |