| NPI | 1730635053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE M SICILIANO AVILA Psychologist/Owner 214-830-9879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 37241) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63226) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-03-01 |