| NPI | 1174008098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA HELLER Office Manager 972-364-7539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-01-26 |