| NPI | 1649789983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MCGINNIS Sole Member 757-435-6296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002145) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717000593) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |