| NPI | 1730990912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOMAIRA E ROSS CASIANO Psycology 787-944-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-23 |