| NPI | 1053059618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHANDA HOLDEN Office Manager 972-644-8968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |