| NPI | 1851030886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GAUTHIER Owner/Therapist 443-673-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |