| NPI | 1629558838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE HITTER Organizer 575-635-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NM PSY1460) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2020-04-08 |