| NPI | 1992086177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ROBERTS Psychologist 469-450-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX 32840) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |