| NPI | 1750011987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA CHIALY SMITH CEO 703-923-8965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2022-06-11 |