| NPI | 1053664599 |
|---|---|
| Doing Business As | RAYLAH ETLANTUS, LPCC |
| Entity Type | Organization |
| Authorized Contact | RAYLAH ETLANTUS Owner 505-385-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 0069462) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2013-01-11 |