| NPI | 1639683758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA N BROSIUS Director Of Psychological Services 703-459-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: VA VA0810003478) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |