NPI | 1518455245 |
---|---|
Entity Type | Organization |
Authorized Contact | JANETTE ELAINE CASTILLO Psychologist 575-527-0614 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1107) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2019-02-07 |