| NPI | 1619342672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL STANFORD Sole Member 972-841-1731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist (Licence: TX LMFTA202565) | |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2022-11-15 |