| NPI | 1699009613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH WITTERSGREEN Owner 540-887-6538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810003439) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |