| NPI | 1619360385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSIE MANAGBANAG GORDON Psychologist 240-750-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04451) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |