| NPI | 1235647041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHIKA NELSON WALLACE Owner/Clinician 804-213-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008492) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2021-04-29 |