| NPI | 1003074493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN M. THOMAS-WILSON Psychologist 804-275-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810000972) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2012-02-17 |