NPI | 1861907891 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH LYNN DEVINCENT Psychotherapist 410-995-8780 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6876) |
Enumeration Date | 2017-12-13 |
Last Update Date | 2017-12-13 |