| NPI | 1477192508 |
|---|---|
| Former Legal Business Name | TRINA KAISER |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KAISER Registered Agent 575-519-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |