| NPI | 1871016568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAHLA KRISTIN BEUTLER Psychotherapist 505-699-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 173411) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |