| NPI | 1598016396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE SONA BAKER Licensed Psychologist 571-212-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY003610) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |