| NPI | 1194259689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN HOOGERBRUGGE Owner 505-715-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0120991) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |