NPI | 1235530296 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON POWDRILL Marriage Family Therapist 443-854-3504 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL 0398020114) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2014-09-09 |