| NPI | 1811556434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN WALL Clinical Psychologist/Owner 703-662-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2021-09-13 |