| NPI | 1346891975 |
|---|---|
| Other Name | RAUL ANTHONY DELACRUZ-LANE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2024-0151) |
| 101YM0800X Counselor, Mental Health (Licence: NM CMH0173081) | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2024-03-14 |