| NPI | 1801264361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAMMER Owner 410-360-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC2396) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP6551) |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical (Licence: MD 18067) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2024-04-10 |