| NPI | 1114479938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA PAGANO Owner 804-409-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2023-10-23 |