| NPI | 1750558359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DANYON FITZPATRICK Director 512-451-2186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16033) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 33075) |
| 103T00000X Psychologist (Licence: TX 33153) | |
| 103TS0200X Psychologist, School (Licence: TX 32308) | |
| 101YP2500X Counselor, Professional (Licence: TX 11813) | |
| 103TS0200X Psychologist, School (Licence: TX 32587) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |