| NPI | 1063862241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RENEE LAVAIL Psychotherapist/Owner 505-705-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM 0140161) |
| Additional Taxonomies | 208D00000X General Practice |
| 363L00000X Nurse Practitioner | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2024-03-18 |