| NPI | 1578231650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY GRIFFIN Owner 301-788-2278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School | |
| 103T00000X Psychologist | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |