| NPI | 1861661654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JEAN JONET President 803-735-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 579) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2012-03-21 |