| NPI | 1790919413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAISHA KEITH Principal 703-298-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004578) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |