| NPI | 1063020618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ANN BLACK Licensed Professional Counselor 864-936-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-08-03 |