| NPI | 1083362511 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LEAH BARASH Practice Director 301-519-8010  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103T00000X Psychologist | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 104100000X Social Worker | |
| Enumeration Date | 2022-03-14 | 
| Last Update Date | 2022-03-14 |