NPI | 1134661317 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA RUTH STUART Sole Proprietor 512-454-5323 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 24397) |
Enumeration Date | 2016-11-05 |
Last Update Date | 2016-11-05 |