| NPI | 1669203303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LANGLEY-PROUT Owner/Clinical Psychologist 443-203-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |