| NPI | 1912269812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE A WEISS-BRAUNSTEIN Clinical Program Director 703-447-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004475) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 05632) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |