NPI | 1023334083 |
---|---|
Entity Type | Organization |
Authorized Contact | RODOLFO FIDENCIO GRANO Clinical Psychologist 505-617-6313 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 0811) |
Enumeration Date | 2010-04-15 |
Last Update Date | 2010-04-15 |