| NPI | 1730981713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANINA ELIZABETH MOMPREMIER Clinical Psychologist 301-683-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |