| NPI | 1083480545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA AGUILAR Co Partner 979-922-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-01-03 |