| NPI | 1164815494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOJI ANDREW WATSON Owner 703-201-0193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: VA 0810004960) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |