| NPI | 1558788216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L. LARSON Licensed Clinical Psychologist 703-443-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |