| NPI | 1649252917 |
|---|---|
| Doing Business As | JAYNE RAQUEPAW, PH.D. |
| Entity Type | Organization |
| Authorized Contact | JAYNE RAQUEPAW Owner/President 713-960-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-4154) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2022-08-27 |