| NPI | 1528197704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA JANICE CRESPO Sicologa 787-252-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PR 1710) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |