| NPI | 1265808471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH BROCATO Psychotherapist 703-400-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006752) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |