| NPI | 1417374141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENSA K. GUNTER Owner/Sole Member 404-788-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003145) |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports (Licence: GA PSY003145) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |