| NPI | 1699428086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILMARIE MATOS FRADERA Sicologa 787-900-3983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |