| 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 |