| NPI | 1831644798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE ZIMMERMAN Owner 571-237-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002942) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |