| NPI | 1154071116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLEY ROWYNNE UTTAL GOLDMAN Owner/Counselor 202-507-3597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |