| NPI | 1851096390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTENE SMITH Owner 301-825-8385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-04-30 |