| NPI | 1457808909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIN MAIJALA Licensed Psychologist 202-656-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001024) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001024) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-07-21 |