| NPI | 1639990310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGHA MARIE WARD Owner, Licensed Psychologist 512-402-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2025-04-25 |