| NPI | 1649556184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN FISHER Licensed Clinical Psychologist 703-330-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 081003919) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |