| NPI | 1023327632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FULLERTON Psychologist, President 713-568-6837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33888) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2012-11-05 |