| NPI | 1396939856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANETTE MARY HOBACK Family Therapist 703-401-5875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002586) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |