| NPI | 1982375739 |
|---|---|
| Former Legal Business Name | KATRINA MACIAS, PSY.D., P.A. |
| Entity Type | Organization |
| Authorized Contact | KATRINA CARRERA Licensed Psychologist 561-205-6887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2021-09-22 |