| NPI | 1639259112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISE LEIGH OSVOLD President 919-787-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 2675) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |