| NPI | 1003078569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JANE GUP Licensed Psychologist/Owner 404-634-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 2414) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |