| NPI | 1447070362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRJANA IVANISEVIC Clinical Neuropsychologist 703-962-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |