| NPI | 1902186992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WIERNIK Clinic D Irector 240-235-5895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32920) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |