| NPI | 1679322887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASAOUDA ARYEETEY Manager 410-504-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103T00000X Psychologist |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |