NPI | 1770988354 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE T SHIRAEV Psychotherapist/Sole Proprietor 540-808-5343 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60091324) |
Enumeration Date | 2014-10-25 |
Last Update Date | 2014-10-25 |