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 |