NPI | 1942447800 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY L TAYLOR-ENNIS Psychologist 443-444-5798 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 03567) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC2346) |
101YP2500X Counselor, Professional (Licence: MD LC2912) | |
101YP2500X Counselor, Professional (Licence: MD LC2940) | |
Enumeration Date | 2009-01-14 |
Last Update Date | 2009-01-14 |