| NPI | 1407554777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINA J HERNANDEZ Practice Owner/Psychotherapist 919-386-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |