| NPI | 1215542030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAREN ENCARNACION LUNA President 939-277-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC1900X Psychologist, Counseling | |
| 225C00000X Rehabilitation Counselor | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-11 |