Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 23374 | MD |
N | 104100000X | Social Worker | 23374 | MD |
NPI | 1003301755 |
---|---|
Provider Name | Paris Taylor |
First Address | Columbia, MD 21044-6216 |
Second Address | Columbia, MD 21044-6216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2018 |
Last Update Date | 27/07/2021 |