| NPI | 1437595212 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KRYSTAL STANLEY Owner 202-341-0500 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000629) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14325) | 
| 1041C0700X Social Worker, Clinical (Licence: DC LC50079281) | |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1000866) | |
| Enumeration Date | 2013-05-20 | 
| Last Update Date | 2014-02-18 |