| NPI | 1578151775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY ARMSTRONG Owner 469-249-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2024-10-08 |