| NPI | 1780762146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE DEMORE Office Manager 713-984-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX TX21764) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |