| NPI | 1396437216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA COULTER Owner/Practiciner 410-294-9612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-09-19 |