| NPI | 1912495342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN V SPERLING Clinical Social Worker 505-819-7713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-07983) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |