| NPI | 1992355689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVEENA KHANCHANDANI Licensed Clinical Psychologist 571-260-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |