NPI | 1144573569 |
---|---|
Entity Type | Organization |
Authorized Contact | AISHA KING Director/Owner 202-556-0799 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 04618) |
Enumeration Date | 2012-10-23 |
Last Update Date | 2012-10-23 |