| NPI | 1003402397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA LEE THOMAS Counselor/Owner 505-459-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |