| NPI | 1275140956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA R ROTHSTEIN Psychologist/Owner 443-595-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |