| NPI | 1356316814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE B WILLIAMS President 505-819-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 20) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NM 911) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2017-02-17 |