| NPI | 1780976431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LOPEZ Owner 505-797-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0094281) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |