| NPI | 1437917663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JONES Licensed Graduate Professional Coun 443-709-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-21 |