| NPI | 1740647700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE U LARSON Licensed Professional Counselor 703-980-9205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003802) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |