| NPI | 1558698282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BURNS Proprietor 505-795-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0103251) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-12-07 |