| NPI | 1407173248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE C NICHOLSON Social Worker 703-490-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006801) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2015-04-29 |