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 |