| NPI | 1578979027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE DOR Licensed Professional Counselor 972-709-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 66598) |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2014-07-05 |