| NPI | 1952080822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA CASAMALHUAPA Owner 703-485-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 208000000X Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |