| NPI | 1194110932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MONROE Solo Member 505-577-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0095971) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |