| NPI | 1598083230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA A MOSER-BURG Sole Proprietor 704-256-4893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 7193) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |