| NPI | 1366126104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FREDETTE Owner 301-509-9768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |