| NPI | 1073380176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN RODRIGUEZ Owner 575-415-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2024-12-02 |