| NPI | 1366128381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GNIA DELUCA Owner 505-310-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-09-12 |