| NPI | 1326749995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN HURLSTON GONZALEZ Psychotherapist/Owner 919-200-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |