| NPI | 1811436728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN EDMUNDS Executive Director 410-336-0836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 09929) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2021-05-04 |