| NPI | 1073932604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER G DIEHL Sole Proprietor 804-647-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004730) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |