| NPI | 1235472606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CARROLL Psychotherapist 301-356-4914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4022) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |