| NPI | 1912005067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D. GRANT Pyschologist 512-338-0795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 21476) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |