| NPI | 1104328558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJA POITIER-HICKMAN Owner 757-778-3699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 090400967) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |