| NPI | 1447639547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LYONS Owner 443-451-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling (Licence: MD 04163) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2021-11-24 |