NPI | 1295197051 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA FIDLER GILBERT President 210-410-5346 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 25602) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |