| NPI | 1003462003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA CARMELA FASSIHI Clinical Psychologist 832-794-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |