| NPI | 1780125989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE CHAVEZ Office Manager 505-814-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0145701) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |