| NPI | 1891221735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MORTON Owner/ Member 703-944-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 72306) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-11-04 |