| NPI | 1124287941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE A GOHMAN Clinical Psychologist 703-798-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 7398566) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |