NPI | 1033462916 |
---|---|
Entity Type | Organization |
Authorized Contact | MELANIE ABRAHAM DE QUADROS Owner 810-423-7576 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006925) |
Enumeration Date | 2012-10-17 |
Last Update Date | 2013-06-06 |