| NPI | 1811656416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA N GRAJALES-TIRADO Psychologist 939-539-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |