| NPI | 1417463753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA B. WILLIAMS Practice Owner 240-317-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MD LC7870) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2023-09-29 |