NPI | 1114528403 |
---|---|
Entity Type | Organization |
Authorized Contact | VALORIE A WILLEMS Owner/Therapist 704-241-9746 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2020-11-04 |
Last Update Date | 2022-12-27 |