NPI | 1972644474 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ATWATER Owner 301-807-8417 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 04053) |
Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: MD 04053) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: MD 04053) | |
103TC0700X Psychologist, Clinical (Licence: MD 04053) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 04053) | |
103TF0000X Psychologist, Family (Licence: MD 04053) | |
106H00000X Marriage & Family Therapist (Licence: MD 04053) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |