| NPI | 1659876803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA A. PEREZ Owner 956-540-7509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 36221) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-04-25 |