| NPI | 1053049544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE TIERRA LACHE WHITE Psychotherapist / Owner 240-706-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |