| NPI | 1962849133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIER MICHELLE JOHNSON Psychotherapist 410-921-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2447) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2017-05-08 |