| NPI | 1851175665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DIAZ Marriage And Family Therapist 575-932-8397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |