| NPI | 1457912651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHRYNE L MACIOLEK WAUGH Clinical Psychologist/Owner 410-591-5380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |