| NPI | 1528516200 |
|---|---|
| Former Legal Business Name | WENDY A. KRUPA, LCSW LLC |
| Entity Type | Organization |
| Authorized Contact | WENDY A KRUPA Owner 571-340-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: VA 0904009040) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2024-01-29 |