| NPI | 1174031777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BOUCHER SOMMERS Owner 703-582-5349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12946) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |