| NPI | 1831710755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA LUGINA MAURANNE Clinical Neuropsychologist 571-529-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-06-07 |