| NPI | 1457741829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA ODENAT Licensed Psychologist 678-687-9149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY003854) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |