| NPI | 1790233666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA K. WINKLES Psychologist 410-794-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 05562) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2022-07-28 |