| NPI | 1568805364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE BOUDREAUX Licensed Psychologist 713-232-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 35073) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2015-06-24 |