| NPI | 1134225972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER VANE MELROSE President Licensed Psychologist 512-495-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 32530) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-02-06 |