| NPI | 1174116610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ERICKSON Owner, Psychologist, Life Coach 804-690-2537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |