NPI | 1285910539 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMARA AVERY Owner/Licensed Psychologist 940-612-2445 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34617) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2013-09-18 |