| NPI | 1932438405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MICHELLE MOHLMAN Owner 512-917-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 32520) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 32520) |
| 103TC1900X Psychologist, Counseling (Licence: TX 32520) | |
| 103TF0000X Psychologist, Family (Licence: TX 32520) | |
| 103TH0004X Psychologist, Health (Licence: TX 32520) | |
| Enumeration Date | 2009-12-13 |
| Last Update Date | 2009-12-13 |