| NPI | 1710496880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE JOHNSON Owner 804-277-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005893) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2020-10-30 |