| NPI | 1720408487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN GONZALES Owner/Therapist 505-264-1698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I-07502) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |