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 |