| NPI | 1538607429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE LEA BOERMAN Licensed Professional Counselor 470-253-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009428) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |