| NPI | 1932628120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ DEL ALBA REYNOSO Mental Health Therapist 302-358-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 102L00000X Psychoanalyst | |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-07-21 |