| NPI | 1366116485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY DANSO Managing Member 803-902-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-12-22 |