| NPI | 1689625386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE MARIE HERFKENS Owner 919-384-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 2192) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2015-02-25 |