| NPI | 1467991794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE TRIANA Licensed Clinical Psychologist 210-663-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36505) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |