| NPI | 1417247909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A BRILL Owner 8043-865-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: VA 0810003263) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |