| NPI | 1598117053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY L MALAWISTA Psychotherapist 301-983-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 05259) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |