| NPI | 1336806223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLA LEWIS Owner 202-713-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2021-11-26 |