| NPI | 1538543889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY THOMPSON Therapist 410-746-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4651) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |