NPI | 1932437647 |
---|---|
Entity Type | Organization |
Authorized Contact | MONIKA PETERSON Clinical Psychologist 505-350-7160 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NM 1093) |
Additional Taxonomies | 251S00000X (Licence: NM 0121881) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2009-11-19 |