| NPI | 1063712024 |
|---|---|
| Former Name | ANGELA GAYE AYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: DC PSY1000644) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: VA 0810004256) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |