| NPI | 1194112920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY N CANTLEY Owner/Licensed Prof. Counselor 843-318-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 3958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 4342) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |