| NPI | 1215255047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLA SAHL Psychologist 972-757-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34735) |
| Additional Taxonomies | 251S00000X (Licence: IL 071007405) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-27 |