| NPI | 1255507554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMIEKA GABRIEL Owner/Psychologist 404-579-6473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY002724) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: GA PSY002724) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY002724) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |