| NPI | 1609537497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE JALON-MAIN Licensed Clinical Psychologist 202-573-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-11-30 |