| NPI | 1356728703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANI LEE GREENFIELD Owner 505-359-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM FA0091496) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |