| NPI | 1821868761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE C FORTUNE Psychotherapist/Owner 843-377-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |