| NPI | 1669998506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA TATIANA AVILES-CERVERA Mental Health Therapist 301-820-2352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15386) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2019-03-14 |