| NPI | 1013135433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY K GRAHAM Licensed Professional Counselor 1803-361-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 4644) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |