| NPI | 1447489257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALYA DAWN BRADFORD Therapist/ Co Owner 410-990-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3182) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |