| NPI | 1316950801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE LUCERO Therapist/Owner 505-314-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 005796) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0068832) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |