| NPI | 1790651230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSA MICHELLE FRAGINALS Clinical Psychologist 575-323-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |