| NPI | 1720271539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA RITA SWAN Licensed Clinical Prof Counselor 443-326-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC 1896) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |