| NPI | 1215332325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA R MARTINEZ Owner 575-779-1736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NM 251283) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |