| NPI | 1588058945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE P COOPER Owner/Therapist 678-561-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA MFT001322) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |