| NPI | 1841448594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA MARIE COSTA Owner 281-902-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 33763) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2009-06-04 |