| NPI | 1295524510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA C GOSS Licensed Clinical Prof. Counslr 410-935-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |