NPI | 1225400310 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLINE IBRAHIM Licensed Psychologist/Owner 703-828-7509 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 081004794) |
Enumeration Date | 2015-10-28 |
Last Update Date | 2015-10-28 |