| NPI | 1740728062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE BA President 202-643-6463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005508) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |