| NPI | 1235626664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA M VELA Office Manager 956-600-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2020-09-18 |