| NPI | 1093460990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE R EATON Licensed Clinical Psychologist 434-609-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |