| NPI | 1881569580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ELIZABETH BORUSHOK Psychologist/Owner 704-313-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |