| NPI | 1093070773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA PILAR MOREIRA Owner 404-209-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: GA 08064086) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |