| NPI | 1952839482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M BAUBLITZ Psychotherapist 410-245-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4865) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2022-07-21 |