| NPI | 1417454646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ELIZABETH BONINI Therapist/Owner 757-389-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904007040) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |