| NPI | 1811237241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PARHAM KIEFER Sole Owner 804-592-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004088) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |