| NPI | 1255041232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIYA EILEEN WHITLEY Owner 704-745-8845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |