| NPI | 1881071116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI LOWTHER Co Owner 817-501-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 15507) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36708) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |