| NPI | 1487183406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER W. BRADFORD Owner 972-863-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36341) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 37647) |
| 103TC1900X Psychologist, Counseling (Licence: TX 36341) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-10-03 |