| NPI | 1740981463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA TRELOAR LA COUR Owner, Authorized Official 505-999-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |