| NPI | 1710401476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE VEILLEUX President/Owner 843-368-6937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1230) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2023-05-01 |