| NPI | 1144567827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNY LEAH DOMINGUEZ AINSLIE Partner 512-904-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 35125) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |