| NPI | 1881313997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KEY NICOLE MATTHEWS Licensed Clinical Psychologist 210-549-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |