| NPI | 1235364969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY AEREN GRAU Psychologist 505-385-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NM 812) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |