| NPI | 1164137006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DAVIDSON Therapist And Co Owner 434-509-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |