| NPI | 1982024105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L KOS Owner/Psychologist 575-522-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NM 0042C) |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2014-04-27 |