| NPI | 1932698875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HOUSTON Clinical Psychologist 575-574-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1210) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2024-04-08 |