| NPI | 1528575123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KINSELLA Manager 843-696-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: RI MFT00179) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: RI MHC00885) |
| 106H00000X Marriage & Family Therapist (Licence: SC 4649) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |