| NPI | 1962858811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN WITMER Owner 703-915-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005034) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-06-03 |