| NPI | 1134515240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE CANFIELD Owner 703-650-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007714) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |