| NPI | 1265682454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY E FRADY Licensed Professional Counselor 678-936-0474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC004690) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2016-09-30 |