| NPI | 1487986493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN W GREEN Owner/Psychologist 678-971-5355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA 3114) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2012-08-28 |