| NPI | 1083210330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA L SOLOMON Licensed Professional Counselor 803-814-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-06-07 |