Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 374962 | NM |
NPI | 1063959369 |
---|---|
Provider Name | Rachel Schwingel |
First Address | Los Lunas, NM 87031-1300 |
Second Address | Los Lunas, NM 87031-8712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2017 |
Last Update Date | 24/01/2017 |