| NPI | 1518846435 |
|---|---|
| Former Name | CAROLINE NICOLE CUSICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 07529) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 07529) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810008920) | |
| 103T00000X Psychologist (Licence: VA 0810008920) | |
| 103TC0700X Psychologist, Clinical (Licence: MD 07529) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810008920) | |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |