| NPI | 1831740299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CHAMBLISS License Psychologist 281-324-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |