| NPI | 1780164665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE J GUEVARA Licensed Clinical Social Worker 240-392-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009490) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2022-10-05 |