| NPI | 1013158310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN MICHAEL NALIBOTSKY Executive Director 301-838-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MD 03948) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11057) |
| 1041C0700X Social Worker, Clinical (Licence: MD 12681) | |
| 106H00000X Marriage & Family Therapist (Licence: MD MFC 26055) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |