| NPI | 1982182408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA DENISE BAKER Psychologist 404-806-9932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004164) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |