NPI | 1093219974 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDRA M BEAVERS Owner/Therapist 864-660-3525 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6390) |
Enumeration Date | 2018-03-23 |
Last Update Date | 2018-03-23 |