| NPI | 1447640164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ANN STEPHENSON Co Owner 575-714-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM I-07223) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0129911) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |