NPI | 1184083396 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY DERRICK Founder 678-701-8477 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008265) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2016-10-28 |