| NPI | 1750737656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE PARAS Art Therapist 505-266-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0454) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |