| NPI | 1609420074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY M GAUTHIER Owner 864-754-4018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |