| 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 |