| NPI | 1871284349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN WOLF Owner 757-650-5346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |