| NPI | 1952835704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J OSBORNE Licensed Professional Counselor 404-234-0546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006170) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |