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 |