| NPI | 1831617448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA AYESHA RODRIGUES SUNDRAM Owner 505-750-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09020) |
| Enumeration Date | 2017-09-03 |
| Last Update Date | 2021-07-20 |