| NPI | 1417235656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PILAR MARGARET SANJUAN Psychologist 505-977-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: NM 1083) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |