| NPI | 1679582308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAY MARSHALL PHILLIPS-LESANE Owner/Therapist 703-309-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003313) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-11-14 |