| NPI | 1285996033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIA TIETKE Sole Member 202-271-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC50079008) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |