| NPI | 1417364548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KRISTIAN ROBERTS Therapist 803-528-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9650) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |