| NPI | 1790659365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SKINNER Owner 804-489-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |