| NPI | 1578063863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA ABEYTA Owner, Provider 505-985-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0174031) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |