| NPI | 1578982401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA KULESZA Licensed Psychologist 682-554-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33605) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |