| NPI | 1063779155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLE MARIE JOGLAR Director, Clinical Psychologist 939-218-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 2553) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |