NPI | 1427448638 |
---|---|
Entity Type | Organization |
Authorized Contact | JADE TIU RUBINO Co Owner/Clin Psychologist 703-547-3509 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004777) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 081004478) |
Enumeration Date | 2015-01-26 |
Last Update Date | 2019-01-09 |