NPI | 1376097097 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ELLEN BAILEY Owner Therapist 703-539-2183 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009491) |
Enumeration Date | 2016-08-10 |
Last Update Date | 2021-07-26 |