| NPI | 1568093912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH IRBY Owner 662-228-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2023-02-13 |