| NPI | 1891089280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN WOLF Director 505-989-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |