| NPI | 1841706645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA TEW Licensed Psychologist 469-401-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37560) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2017-12-17 |
| Last Update Date | 2022-01-25 |