| NPI | 1932995750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE THERESA COLE Practice Owner 571-483-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-05-01 |