| NPI | 1063047793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PARNELL Owner/Manager/Licensed Psychologist 704-756-1615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |