| NPI | 1659076883 |
|---|---|
| Doing Business As | THE SELF LOVE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DIANA FABIOLA CASTILLO Psychotherapist 915-474-7068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2023-04-05 |