| NPI | 1912576497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HECKWOLF Owner 410-294-9324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-27 |