| NPI | 1598151219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA K VANDERHORST President 301-578-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 00980) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2015-04-16 |