| NPI | 1255789350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DIPESA Psychotherapist 410-235-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11980) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |