| NPI | 1184750226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MARIE NOONAN Sole Member 770-490-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY002952) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2020-08-22 |