| NPI | 1578956413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SUN Registered Agent/Co Owner 864-612-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC 4601) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |