NPI | 1205225455 |
---|---|
Entity Type | Organization |
Authorized Contact | TIESHA MIA COHEN Owner/Clincal Therapist 443-850-1701 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD lc6047) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2015-01-12 |