| NPI | 1861898413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA THOMAS Member 601-544-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0413) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MS 1193) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |