| NPI | 1538676341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HARRIS Professional Counselor 443-574-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MD LC7849) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |