| NPI | 1447577432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY N. SMITH Director 214-405-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63209) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201220) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |