| NPI | 1104575430 |
|---|---|
| Former Legal Business Name | WILDLY ROOTED COUNSELING LLC |
| Entity Type | Organization |
| Authorized Contact | KATE A BOWMAN Owner 540-578-3691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |