| NPI | 1750360319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LOUISE MILLER President 704-987-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 2596) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2014-03-11 |