| NPI | 1720323884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA EILEEN PUGH-WESTLYN Officer 512-644-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 22938) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |