| NPI | 1710481452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYANNA EVANS Owner/Psychotherapist 803-995-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11029) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2021-01-07 |