| NPI | 1811401003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN WHITNEY Owner 214-732-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59508) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2022-11-29 |