| NPI | 1477808962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH KRAUSE President 540-788-9122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810000289) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |