NPI | 1134554793 |
---|---|
Doing Business As | ANUPAMA KOMMU |
Entity Type | Organization |
Authorized Contact | ANUPAMA T KOMMU Licensed Clinical Psychologist 571-364-3095 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004824) |
Enumeration Date | 2013-09-13 |
Last Update Date | 2019-10-29 |