| NPI | 1528480175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TICILY C MEDLEY Owner 972-454-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201021) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |