| NPI | 1326462359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS YLENIA CARRILLO Psychologist 979-361-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 36345) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |