| NPI | 1649142845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSA IYANA GRAYSON President 682-999-9765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-25 |