NPI | 1720740194 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIDGETT BOXLEY Administrator 713-907-7716 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
Enumeration Date | 2021-10-12 |
Last Update Date | 2021-10-12 |