| NPI | 1356754527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN TALMAGE Executive Director 214-760-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 64837) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 34150) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |