| NPI | 1942076104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JAILYN VAZQUEZ MATIAS Clinical Psychologist 787-667-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |