| NPI | 1548956568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY PETERSON VINCENT Psychotherapist/Owner 571-331-8842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2024-04-09 |