| NPI | 1598201600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE WENDY BERSHAW Psychotherapist 410-212-9463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 12123) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |