| NPI | 1699278655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA LAURITSEN Owner / Sole Practioner 505-629-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0144901) |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |