| NPI | 1821596578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SHANNON PALMER Owner 505-226-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NM 0082261) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2023-06-23 |