| NPI | 1750979845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE HICKS Licensed Psychologist 202-964-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2024-02-23 |