| NPI | 1417370446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIEKE RIVKA SIDORSKY Owner 301-244-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16216) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2021-01-08 |