| NPI | 1699593152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE B. VARGAS Psychologist/Owner 959-995-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-11-21 |