| NPI | 1932692290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKYE PORTER MOFFITT Managing Member 214-549-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32837) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |