| NPI | 1710527833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARIE CORNISH Licensed Professional Counselor 804-305-5868 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2025-08-13 |