NPI | 1477141695 |
---|---|
Entity Type | Organization |
Authorized Contact | MIRANDA MEI NADEAU Owner 512-354-4615 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101Y00000X Counselor |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2021-01-04 |
Last Update Date | 2024-08-14 |