| NPI | 1437669207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJU KADUVETTOOR DAVIDSON Psychologist/Owner 512-337-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37709) |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2021-07-15 |