| NPI | 1235660499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SHAWKI Lead Therapist 703-303-3412 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008366) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |