| NPI | 1548359524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MORRICE-MCBRIDE Owner 361-883-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 30571) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2017-04-07 |