NPI | 1033632971 |
---|---|
Entity Type | Organization |
Authorized Contact | KRYSTAL T SIMMONS Psychologist/President 202-277-5238 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36257) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2017-07-24 |