NPI | 1649602475 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA WOODS Phd/Owner 770-570-9193 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA PSY003472) |
Enumeration Date | 2013-08-03 |
Last Update Date | 2013-08-03 |