| NPI | 1659573756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA RUTH STEVENSON Owner 210-822-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32427) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |