| NPI | 1477611341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KOLTUSKA-HASKIN President 505-292-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM 580) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |