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 |