| NPI | 1902968076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DAVID SHAW President 202-686-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC 789001397) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |