| NPI | 1780061010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA A GORDON Owner/Therapist 214-600-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64897) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |