| NPI | 1891146650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MICHELLE HENDERSON Therapist 410-825-1851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6720) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |