| NPI | 1497941355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLI MARIE VINCENZ Licensed Professional Counselor 703-532-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0701000871) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |