| NPI | 1992401376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRTA ELVIRE INNIS-THOMPSON Lcsw Licensed Psychotherapist 202-763-9178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2025-09-16 |