| NPI | 1457886798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN WOLF Owner 757-650-5346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001347) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |