| NPI | 1134637473 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JENEL RAMOS Licensed Psychologist 210-660-8520  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36798)  | 
| Enumeration Date | 2018-01-22 | 
| Last Update Date | 2018-08-16 |