| NPI | 1760639215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET CAROL WILSON Licensed Clinical Psychologist 703-521-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |