| NPI | 1609188028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE A KRASNER Child & Adolescent Therapist 505-363-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NM 1136) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |