NPI | 1659763001 |
---|---|
Doing Business As | BLOOM WITHIN COUNSELING |
Entity Type | Organization |
Authorized Contact | MYRA GASSER Licensed Professional Counselor 843-422-2041 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: SC 5460) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2015-02-23 |