| NPI | 1497984207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA I MEDINA Psychologist 787-892-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PR 1879) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |