| NPI | 1598399438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKIMAH P DAVIS Owner/Therapist 571-229-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2022-09-14 |