| NPI | 1699246058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEISHA ALEYA SHOCKLEY Owner 443-953-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |