| NPI | 1063980514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA M. WILLIAMS Executive Director 301-437-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 101YP2500X Counselor Professional | |
| 103T00000X Psychologist | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2019-03-07 |