| NPI | 1801494075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDYMIE WOOTEN Owner 443-646-3907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X | |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2023-09-06 |