| NPI | 1730815564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUSHAN MELANIE CAMPBELL Owner/Executive Director 571-255-9859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |