| NPI | 1598295461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE YA WONG-HOLLAND Clinical Psychologist 703-662-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004944) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |