NPI | 1841019908 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE ALISSA CHAPLA CEO And Owner 505-532-3008 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
Enumeration Date | 2024-10-07 |
Last Update Date | 2024-10-07 |