| NPI | 1184239170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANN SANFORD Owner 972-589-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103T00000X Psychologist | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2022-12-13 |