| NPI | 1871325464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELINA KUGEL Owner 469-689-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2025-01-27 |