| NPI | 1275927683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIESHA MIA COHEN Co Founder/Clinical Consultant 301-769-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC6047) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-06-09 |