| NPI | 1851107973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAREE HASKINS Founder/Owner 540-734-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |