Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 1734 | PR |
NPI | 1023247251 |
---|---|
Provider Name | Mrs. Maria Del Mar Torres |
First Address | Bayamon, PR 00956-9249 |
Second Address | Bayamon, PR 00960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 09/07/2009 |