NPI | 1134956055 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA JACKSON-WESTBROOK Owner / Clinical Psychologist 919-877-6879 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Enumeration Date | 2024-09-16 |
Last Update Date | 2024-09-16 |