| NPI | 1912409392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA MANUEL Licensed Professional Counselor 770-325-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC007547) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2021-06-17 |