| NPI | 1699174714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA SCHILL Licensed Clinical Psychologist 571-438-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004928) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |