| NPI | 1831837335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIKA HAM Social Worker 301-267-9148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC1900X Psychologist, Counseling | |
| 106H00000X Marriage & Family Therapist | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |