NPI | 1336769561 |
---|---|
Entity Type | Organization |
Authorized Contact | DEONDRA SMITH Owner 410-841-4448 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103TF0000X Psychologist, Family | |
103TP0814X Psychologist, Psychoanalysis | |
Enumeration Date | 2020-04-17 |
Last Update Date | 2020-04-17 |