| NPI | 1508156266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GRAY Office Manager 703-521-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |