NPI | 1881194181 |
---|---|
Entity Type | Organization |
Authorized Contact | GALADRIEL SALINA WINSTEAD Owner And Provider 757-486-6955 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004332) |
Enumeration Date | 2018-02-14 |
Last Update Date | 2021-08-10 |