| NPI | 1780619296 |
|---|---|
| Doing Business As | JANE R. ROSEN - GRANDON, PH.D. |
| Entity Type | Organization |
| Authorized Contact | JANE R ROSEN-GRANDON Treasurer 336-292-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC LPC2299) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC MFT423) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT0000258) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |