| NPI | 1457652539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILE A ASHMORE Provider 214-477-9275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33150) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2010-11-05 |