| NPI | 1639425325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN D DREAPER Therapist/Owner 443-801-0138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MD LC3808) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |