Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | APC002607 | GA |
NPI | 1003126418 |
---|---|
Provider Name | S. Nyambura Kihato |
First Address | Duluth, GA 30096-3461 |
Second Address | Duluth, GA 30096-3461 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2010 |
Last Update Date | 02/05/2019 |