| NPI | 1467009688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA M MARTINEZ Director 939-338-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TS0200X Psychologist, School | |
| 224Z00000X Occupational Therapy Assistant | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 246Q00000X Spec/Tech, Pathology | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |