NPI | 1770218638 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN B TRAYLOR-ADOLPH Licensed Psychologist 678-837-6529 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103TF0000X Psychologist, Family | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2022-07-22 |
Last Update Date | 2022-07-23 |