NPI | 1063814747 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA JEAN KEERAN President 505-249-1374 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 103571) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2014-09-24 |