| NPI | 1386183085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVANYA SHANKAR Owner/Licensed Psychologist 512-222-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34258) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |