| NPI | 1578330544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN ROSE MBUVI Owner 804-413-9037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-12 |