| NPI | 1285971374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ANN SHANNON-KIRBY Proprietor 828-848-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 3679) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC 3679) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |