| NPI | 1336647551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN FORRESTER SENTZ President 410-370-0299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04247) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-07-20 |