| NPI | 1104374016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE WHITTEMORE Sole Proprietor 434-944-8024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004208) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |