NPI | 1144360157 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN KINGSLEY Clinical Psychologist 703-723-9404 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001562) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |