| NPI | 1952799603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW P. IRWIN-SMILER Sole Proprietor 336-245-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC LPA4067) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC S2165) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2018-08-21 |