| NPI | 1831722313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL DANIELS Owner 703-286-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |