| NPI | 1962795872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE LANDOLF Owner 703-860-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 0810003147) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |