| NPI | 1912404757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN LEIGH BURKIN Social Worker 703-483-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0717001265) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |