| NPI | 1952571101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKALA ANNE LEGAKO Psychologist/Owner 678-314-7469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 002428) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2020-08-02 |