| NPI | 1578344404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER VICTORIA GANGINIS DEL PINO Licensed Psychologist 301-537-5346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-16 |