| NPI | 1336505783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE ANDREA STADLEN Licensed Psychotherapist 919-602-6766 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VT 048.0098908) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |