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 |