| NPI | 1245619659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ERICKSON Owner/Psychologist 678-948-8162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA PSY003887) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2021-11-16 |