| NPI | 1235964636 |
|---|---|
| Doing Business As | ROOT PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | KERI GNANASHANMUGAM Practice Owner 832-540-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-12 |