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 |