| NPI | 1467190801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA WALL Owner/Clinical Psychologist 202-851-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |