| NPI | 1861057150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE S MOORE Clinical Psychologist 202-299-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2023-11-21 |