| NPI | 1730191917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILONA N GRAVERS Owner 703-303-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2013-06-18 |