| NPI | 1194806174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KRAFT Office Manager 210-403-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 30785) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-11-03 |