| NPI | 1114680238 | 
|---|---|
| Doing Business As | CAMILLA DORMENT, LICSW | 
| Entity Type | Organization | 
| Authorized Contact | CAMILLA POWER DORMENT Psychotherapist 202-329-8640 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2021-10-15 | 
| Last Update Date | 2021-10-15 |