| NPI | 1528468154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GAYLOR Therapist 214-938-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 4360) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |