| NPI | 1912397928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE MUNI President 803-462-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1007) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |