| NPI | 1841742632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ANN BALDERSON Psychotherapist Co Owner 864-436-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10138) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10511) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |