| NPI | 1235361890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLANI MARIE MRAZ Owner 505-819-9434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0120591) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |