| NPI | 1104633296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE SIMS Licensed Professional Counselor 571-240-4832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |