| NPI | 1124491162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTY NOVOTNEY Psychotherapist 240-780-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17463) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |