| NPI | 1427795582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A VELAZQUEZ Training Director 505-660-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-05-19 |