Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103G00000X | Clinical Psychologist | 5353 | PR |
Y | 103TC0700X | Clinical Psychologist | 5353 | PR |
N | 103TC1900X | Counseling Psychologist | 5353 | PR |
NPI | 1114303815 |
---|---|
Provider Name | Karen Torres |
First Address | San Antonio, TX 78236-5638 |
Second Address | San Antonio, TX 78236-5638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2015 |
Last Update Date | 22/11/2020 |