| NPI | 1417177031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S DAVIS Licensed Professional Counselor 843-615-0840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 2876) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-01-14 |