| NPI | 1730752981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA DESKINS Clinical Psychologist 703-679-2539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TS0200X Psychologist School | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2024-05-14 |