| NPI | 1598774127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELE MAN KUEN ASIMOW President Of Corporation 301-977-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 569) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-10-24 |