| NPI | 1205420346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH COTTO RIVERA Psychology 939-241-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-09-13 |