| NPI | 1306204474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LAKISHA ROSSBARKSDALE Licensed Professional Counselor 434-607-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 17517) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |