| NPI | 1215339106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BAUER COUCH Owner 505-610-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08835) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |