| NPI | 1366027427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LYNN RATLIFF President 210-240-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |