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 |