| NPI | 1922553379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY SHEILA RADDING Owner 703-583-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904004650) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |