| NPI | 1154812048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLA HUNDRICH-SOURIS Psychologist 940-565-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-6863) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |