| NPI | 1780351890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DA'KEISHA MOLIQUE JOHNSON Counselor 240-709-6557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2023-02-10 |