| NPI | 1750587499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E. GUTIERREZ Owner 210-365-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 31016) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-06-12 |