| NPI | 1780062489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL RAE WALKER Therapist 505-660-8047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-08981) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |