| NPI | 1740881564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA T MANCERO Child And Family Therapist 410-561-5895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |