| NPI | 1750864641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RIVERA-BRASTAD Owner 575-932-8915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0165661) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |