| 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 |