| NPI | 1497708374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA EGERTON WERT President 804-264-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810001671) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-06-16 |