| NPI | 1619168366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA SMITH Office Manager 202-536-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000047) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2008-02-19 |