| NPI | 1093373797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAOLA ANDREA GOYENECHE Licensed Professional Counselor 843-424-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |