| NPI | 1477962421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH MARGARET JEROME Director/President 540-478-3253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004284) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2022-01-07 |