| NPI | 1942263223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA CALDERON Clinical Psychologist 843-402-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 450) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2020-08-22 |