| NPI | 1285498865 |
|---|---|
| Other Name | EXPANSIVE LIGHT PSYCHOTHERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | TAMIELLE MAREE TAYLOR Managing Member 240-328-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |