| NPI | 1245762004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE SEGUE-WILKINS Owner, Psychotherapist 410-884-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD LC3362) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |