| NPI | 1114771532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDINESYA ZHAO Owner 804-390-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-06-05 |