NPI | 1801115126 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA A SECREST Psychologist 281-780-4776 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33797) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2010-05-26 |