| NPI | 1902379696 |
|---|---|
| Doing Business As | JENNIFER CANBY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE CANBY Child And Family Therapist 240-986-3139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2019-01-06 |