| NPI | 1609109131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L TAYLOR-ENNIS Psychologist/Member 443-444-5798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 03567) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-21 |