| NPI | 1023902368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE EMMA IWATSUBO Lpc, Owner, Clinical Supervisor 804-928-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |