| NPI | 1902172281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MONTOYA President 505-275-6457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM 640) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |