| NPI | 1639814122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNISHA MARIE LAVIGNE Owner/Professional Counselor 470-983-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2024-08-19 |