| NPI | 1699065391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAE LITTLEWOOD Clinical Psychologist 505-977-7972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1167) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |