| NPI | 1114060928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHELLA PLAZA Administrator 770-229-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT000232) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC000524) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2025-09-11 |