| NPI | 1154398436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J SMOOT Solo Practioner 540-662-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701003862) |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2008-07-22 |