| NPI | 1861001992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOBS JACQUETTE Mental Health Therapist 240-468-8476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-08-10 |