| NPI | 1497387963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELANDE DOMOND License Professional Counselor 678-886-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-06-29 |