| NPI | 1821402801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ANDREW KAUFMAN Licensed Clinical Psychologist 703-836-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004267) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |