| NPI | 1972041911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIA IOLANDA ISRAEL Mental Health Therapist 443-802-7816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC4411) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |