NPI | 1851714166 |
---|---|
Former Legal Business Name | GENUINE LIFE PSYCHOLOGY & WELLNESS PLLC |
Entity Type | Organization |
Authorized Contact | JENNIFER S HARTMAN Single Member, Licensed Psychologis 972-742-2186 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32123) |
Enumeration Date | 2014-01-23 |
Last Update Date | 2021-11-18 |