| NPI | 1548216799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN WILLIAMS V. P. Corporate Compliance 972-437-4698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY00001551) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |