| NPI | 1215293022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE M HEYMAN Sole Mbr/Proprietor 505-410-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0120851) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |