| NPI | 1518201946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WOLF BRADFORD Licensed Psychologist 972-863-2232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 36341) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17483) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |