| NPI | 1548939374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE LYNNE WILSON Marriage & Family Therapist 703-615-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |