NPI | 1265501449 |
---|---|
Entity Type | Organization |
Authorized Contact | IVORY M ROBERTS CLARKE Founder 301-807-8046 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 04258) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2020-08-22 |