| NPI | 1457449894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LYNN ENGEL Incorporated Individual 512-346-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32389) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |