| NPI | 1386357523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CARSON Owner 757-870-7763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |