| NPI | 1134432164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN JOAN FISHER Licensed Clinical Psychologist 703-585-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003919) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |