| NPI | 1205037298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A DEEL President 410-879-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC0045) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM012) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |