| 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 |