| NPI | 1306072954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY WASSERMAN LOEB Co President 770-417-2732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY002865) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC001688) |
| 101YP2500X Counselor, Professional (Licence: GA LPC003775) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC002966) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW001624) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |