| NPI | 1366077935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA DEL CARMEN BOISE Owner 703-989-9512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |