| NPI | 1558036327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFTON FISK SPARROW Co Owner 505-633-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2022-06-22 |