| NPI | 1386151611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZZIE L WEST Director 832-819-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX 69426) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YP2500X Counselor Professional (Licence: TX 69426) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: TX 69426) | |
| 103TC0700X Psychologist Clinical (Licence: TX 69426) | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-06-16 |