| NPI | 1134648678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAFINAH SAMSUDIN Managing Director 703-939-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701005338) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-10-30 |