| NPI | 1063234565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA BAEZ RIOS Psychologist 939-891-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC1900X Psychologist, Counseling | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |