| NPI | 1417230608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA V DIYANKOVA Owner 865-250-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TN P0000002869) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |