NPI | 1790988715 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLIDAY RONDEAU President 703-999-4844 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810002152) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2020-08-22 |