| NPI | 1679189377 |
|---|---|
| Doing Business As | SANDRA J. BRIM |
| Entity Type | Organization |
| Authorized Contact | SANDRA J BRIM Owner 424-355-3697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2022-09-14 |