NPI | 1255732897 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANEIKA C LOVELACE Owner/Therapist 443-418-8707 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3595) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2014-09-15 |