| NPI | 1487114492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE L FORD Licensed Professional Counselor 434-378-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |