| NPI | 1578989331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN CLANSY MILLER Owner 832-654-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 31246) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |