| NPI | 1831521145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY M RIVAS President 331-229-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006321) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2024-07-29 |