| NPI | 1659148369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIRAH NELSON Licensed Professional Counselor 770-634-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-06-25 |