| NPI | 1003337247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUN VEGA Managing Partner 505-235-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0123991) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NM 375345) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |