| NPI | 1053543157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA M. GRENELL President 703-536-7554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 1270) |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2009-08-22 |