| NPI | 1104224625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA WILEY Licensed Clinical Prof Counselor 301-653-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5129) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2024-04-30 |