Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LGP9762 | MD |
NPI | 1003456807 |
---|---|
Provider Name | Katherine Ardeleanu |
First Address | Cantonsville, MD 21228 |
Second Address | Cantonsville, MD 21228 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2020 |
Last Update Date | 09/01/2020 |