| NPI | 1033556535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN MISHRA Psychologist 832-876-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 31131) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 31131) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2017-05-08 |