| NPI | 1083036271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SINIUK WAGNER Mental Health Therapist 843-412-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 2583) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |