| NPI | 1104170984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA BAKI GOBRAIL Therapist 301-437-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC1483) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |