| NPI | 1104104546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA SIDDIQUI Sole Member 601-453-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1584) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |