| NPI | 1568745032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BLAISDELL HALPER CEO 703-988-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004473) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |