| NPI | 1003334210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN J. RILEY Licensed Professional Counselor 571-989-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 1701006505) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |