| NPI | 1427571322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA L LOKKEN Owner 678-820-8386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY003288) | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2022-07-21 |