| NPI | 1205708385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA COULTER Owner/Therapist 410-294-9612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 104100000X Social Worker | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |