| NPI | 1619489424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALEXANDRA HERRERA Owner 571-234-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701005276) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2022-09-19 |