| NPI | 1376858100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY L DICKINSON Licensed Psychologist/President 678-463-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: GA 3256) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |