| NPI | 1538546726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN ADKINS Office Manager 410-742-7160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM534) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |