| NPI | 1316322712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDA LYNNE PENN-PICK Therapist 301-606-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10379) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |