| NPI | 1629464995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WHEELER Owner 229-237-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: GA LMFT001214) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |