| NPI | 1639193279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA ULON LATHAM Clinical Positon 202-546-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC13693) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |