| NPI | 1841802816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER RONAI CARGILL Licensed Psychologist/CEO 703-594-6585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TE1100X Psychologist Exercise & Sports |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |