| NPI | 1295905537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN BOES Clinical Psychologist 703-299-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002462) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |