| NPI | 1811422850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FORRESTER Psychologist 713-598-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 25359) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |