NPI | 1831495225 |
---|---|
Entity Type | Organization |
Authorized Contact | RONELLA ELLIS Owner/Clinical Psychotherapist 919-971-9317 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1292) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 1292) |
Enumeration Date | 2011-02-01 |
Last Update Date | 2013-01-03 |