NPI | 1679063440 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCY TOVAR MURILLO Owner/Lpc 706-327-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006333) |
Enumeration Date | 2018-05-16 |
Last Update Date | 2018-05-16 |