| NPI | 1689060493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A PENLAND Licensed Psychologist 505-896-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 0709) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |