| NPI | 1790344224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L ROSS Co Owner 505-331-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2021-03-14 |