| NPI | 1902664436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARICE NICOLE CARR Psychologist 214-448-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-07-27 |