| NPI | 1366954968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE J BOUCHER Owner/Director 505-620-9785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0124121) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM o124121) |
| Enumeration Date | 2017-11-04 |
| Last Update Date | 2018-01-24 |