NPI | 1306565569 |
---|---|
Other Name | LARISSA WEINMAN |
Entity Type | Organization |
Authorized Contact | LARISSA MARI WEINMAN Therapist/Counselor 575-779-1484 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-08-23 |
Last Update Date | 2022-08-23 |