| NPI | 1023466711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KATERI GERWIN Clinical Counselor 703-608-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP6944) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |