| NPI | 1467162693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA STONE MASULLO Marriage And Family Therapist 843-708-7897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |