| NPI | 1588016059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHRISTEN HANSON Owner/ Therapist 443-201-6957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW017362) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW123869) |
| 104100000X Social Worker (Licence: PA SW131644) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |