| NPI | 1891115689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE GOODELL Clinical Therapist 443-540-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15631) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |