| NPI | 1528364130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENI MARIA BOOSALIS Clinical Psychologist 703-408-6142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003954) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |