| NPI | 1164905188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE EJIM Owner/Therapist 443-731-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2021-06-16 |