| NPI | 1114157922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAORI MARUYAMA Licensed Psychologist 678-935-9567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003255) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |