| NPI | 1336625334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LOWELL NIEMEIER Owener 804-677-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 5626) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |